Page (PDF) | 39 |
---|---|
Certificate Number | 19943 |
Name of Deceased | [Mills], [not named] |
Place of Death | Worcester |
Town of Death | Girdletree |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 11/17/1915 |
Age (year, month, days) | 3 ds |
Occupation or Employer | none |
Birthplace | Worcester |
Father's Name | John Mills |
Father's Birthplace | Worcester |
Mother's Name | Jhossie? Ewell |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | John Mills; Girdletree |
Date of Death | 11/20/1915 |
Cause of Death and Time Attended by Doctor | no physician; don't know cause |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | WO Payne; Stockton |
Burial Place, Date, Undertaker, and Address | Cool Spring Cemetary; 11/21/1915; Joshua Ward; Girdletree Md |
Length of Residence, Where Disease Contracted, Former Residence | – |
Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)]
, Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)]
, Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
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